Professional Documents
Culture Documents
1. Which among the following is the regulator for the insurance industry in India?
III. Setting aside reserves as a provision for meeting potential losses in the future
I. Bank FD
II. Insurance
IV. A house may lose value due to natural wear and tear
5.Which of the below insurance scheme is run by an insurer and not sponsored by the
Government?
II. Investments
III. Insurance
I. Risk retention
IV. To enjoy peace of mind and plan one’s business more effectively
I. Bottomry
II. Lloyds
III. Rhodes
resulting in a combined loss of Rs. 80,000. What should be the annual contribution of each
I. Rs.100/-
II. Rs.200/-
III. Rs.80/-
IV. Rs.400/-
14.Why do insurers arrange for survey and inspection of the property before acceptance of a
risk?
III. To find out whether other insurers have also inspected the property
I. House
II. Insurance
I. Cleverness
II. Reliability
III. Empathy
IV. Responsiveness
I. Reinsurance
II. Deductible
III. Co-insurance
IV. Rebate
5.A customer having complaint regarding his insurance policy can approach IRDA through
I. IGMS
III. Ombudsman
7.___________ has jurisdiction to entertain matters where value of goods or services and the
I. High Court
I. By being confident
III. Ethical behavior helps in developing trust between the agent and the insurer
IV. Paying attention to the speaker, giving an occasional nod and smile and providing feedback
CHAPTER -3 QUESTIONS
2.Which of the below consumer grievance redressal agencies would handle consumer disputes
I. District Forum
3.Which among the following cannot form the basis for a valid consumer complaint?
II. Shopkeeper not advising the customer on the best product in a category
4.Which of the below will be the most appropriate option for a customer to lodge an insurance
I. Police
5.Which of the below statement is correct with regards to the territorial jurisdiction of the
Insurance Ombudsman?
IV. Insurance Ombudsman operates only within the specified territorial limits
8.Which among the following is not a pre-requisite for launching a complaint with the
Ombudsman?
II. The complaint must be lodged within 1 year of the insurer rejecting the complaint
IV. The total relief sought must be within an amount of Rs.20 lakhs.
9.Are there any fee / charges that need to be paid for lodging the complaint with the
Ombudsman?
III. Complaint can be launched against private insurers only in the Life Sector
IV. Complaint can be launched against private insurers only in the Non-Life Sector
CHAPTER -4 QUESTIONS
I. Insurance company
III. Broker
I. Insurance company
II. Sub-agent
III. Co-agent
IV. Broker
I. Government of India
II. IRDAI
IV. Insurer
I. Rebates
IV. Commission
I. An agent is expected to inform the insurer all relevant facts about the prospectus.
II. Advice the prospectus on nomination
7. Which of the following acts is insurance business in India not linked to?
I. At point of sale
I. Graduate
II. 10th
III. Post-graduate
IV.. 7th
10. _________ may deal with more than one life insurance company or general insurance company or
both.
I. Agent
II. Surveyor
II. Consideration
2._____________ relates to inaccurate statements, which are made without any fraudulent intention.
I. Misrepresentation
II. Contribution
III. Offer
IV. Representation
I. Fraud
III. Coercion
IV. Mistake
III. They are contracts between two parties (insurer and insured) as per requirements of Indian
I. Money
II. Property
III. Bribe
IV. Jewelry
6.Which of the below party is not eligible to enter into a life insurance contract?
I. Business owner
II. Minor
10.Find out the proximate cause for death in the following scenario?
Ajay falls off a horse and breaks his back. He lies there in a pool of water and contracts pneumonia. He is
admitted to the hospital and dies because of pneumonia.
I. Pneumonia
IV. Surgery
CHAPTER 6 –QUESTIONS
I. Physical wellbeing,
2. The first standardized health insurance product for individuals and their families was launched in the
Indian market in the year
I. 1986
II. 2001
III. 2010
IV. 2012
I. Primary Healthcare
4. The hospitalization indemnity-based annual contract which most popular form of private health
insurance is known as
I. Mediclaim Cover.
III. One health insurer and one of each of the mono line insurers.
I. Individuals
II. Corporates
III. Both
IV. None
I. Third Part Administrators are not authorized to sell insurance but provide administrative services to
insurance companies.
II. TPAs are remunerated by insurers by way of fees which are a percentage of the premium.
I. It ensures that the insured also contributes a certain portion of the claim along with the insurer
II. It ensures that all the insured who are a part of the pool, contribute to the claim made by a
participant of the pool, in the proportion of the premium paid by them
III. It ensures that multiple insurers covering the same subject matter; come together and contribute
the claim amount in proportion to their exposure to the subject matter
IV. It ensures that the premium is contributed by the insured in equal installments over the yea
2.As per guidelines, an insurance company has to process an insurance proposal within __________.
I. 7 days
II. 15 days
III. 30 days
IV. 45 days
3. In case the premium payment is made by cheque, then which of the below statement will hold true?
I. The risk may be assumed on the date on which the cheque is posted
II. The risk may be assumed on the date on which the cheque is deposited by the insurance company
III. The risk may be assumed on the date on which the cheque is received by the insurance company
IV. The risk may be assumed on the date on which the cheque is issued by the Proposer
II. Cover notes are predominantly used in all classes of general insurance
IV. Cover notes are predominantly used in marine and motor classes of general insurance
III. A warranty is a condition expressly stated in the policy and communicated to the insured separately
and not as part of the policy document
IV. If a warranty is breached, the claim can still be paid if it is not material to the risk
6. If certain terms and conditions of the policy need to be modified at the time of issuance, it is done by
setting out the amendments through __________.
I. Warranty
II. Endorsement
III. Alteration
I. As per regulations there is a legal obligation on insurers to send a renewal notice to insured, 30 days
before the expiry of the policy
II. As per regulations there is a legal obligation on insurers to send a renewal notice to insured, 15 days
before the expiry of the policy
III. As per regulations there is a legal obligation on insurers to send a renewal notice to insured, 7 days
before the expiry of the policy
IV. As per regulations there is no legal obligation on insurers to send a renewal notice to insured
before the expiry of the policy
CHAPTER 8 QUESTIONS
1. Though the duration of cover for pre-hospitalization expenses would vary from
insurer to insurer and is defined in the policy, the most common cover is for
________ pre-hospitalization.
I. Fifteen days
I. Fifteen days
I. The insurer
III. Each insurer’s share of loss when more than one company covers the same
loss
IV. The amount of the loss that can be recovered from the insurer
II. Current health status and age are the key factors in medical underwriting
5.
groups.
I. Statement 1 is true and statement 2 is false
6. Which of the following factor does not affect the morbidity of an individual?
I. Gender
III. Habits
8.The first and the primary source of information about an applicant, for the underwriter is his
________________.
I. All the critical information related to the health and personal details of the
II. All the medical examinations and tests of the proposer are completed
IV. The policy is issued to the proposer after risk selection and pricing.
10. Which of the following statements about the numerical rating method is incorrect?
I. Numerical rating method provides greater speed in the handling of a large business with the help of
trained personnel.232
II. Analysis of difficult or doubtful cases is not possible on the basis of numerical points without
medical referees or experts.
III. This method can be used by persons without any specific knowledge of medical science.
III. Regulator
IV. TPA
2.Which of the following document is maintained at the hospital detailing all treatment done to an in-
patient?
I. Investigation report
3.The amount of provision made for all claims in the books of the insurer based on the status of the
claims is known as ________.
I. Pooling
II. Provisioning
III. Reserving
IV. Investing
4.Which of the following documents are not required to be submitted for Permanent Total Disability
claim?
III. Permanent disability certificate from a civil surgeon or any equivalent competent doctors certifying
the disability of the insured.
IV. Fitness certificate from the treating doctor certifying that the insured is fit to perform his normal
duties.
5. ________________ are paid upfront by Assistance Company and later claimed from insurance
company.
6. Who among the following is considered as primary stakeholder in insurance claim process?
I. Customers
II. Owners
III. Underwriters
7.Girish Saxena’s insurance claim was denied by insurance company. In case of a denial, what is the
option available to Girish Saxena, apart from the representation to the insurer?
I. To approach Government
8. During investigation, of a health insurance claim presented by Rajiv Mehto, insurance company finds
that instead of Rajiv Mehto, his brother Rajesh Mehto had been admitted to hospital for treatment. The
policy of Rajiv Mehto is not a family floater plan. This is an example of ___________fraud.
I. Impersonation
9. Under which of the following condition, is domiciliary hospitalization is covered in a health insurance
policy?
I. The condition of the patient is such that he/she can be removed to the
accommodation therein
10. Which of the following codes capture the procedures performed to treat the illness?
I. ICD
II. DCI
III. CPT
IV. PCT
CHAPTER 11-QUESTIONS
I. Fire
III. Burglary
II. Coercion
III. Consideration
3. Mr. Pinto contracted pneumonia as a result of lying on wet ground after a horse riding accident.
The pneumonia resulted in death of Mr. Pinto. What is the proximate cause of the death?
I. Pneumonia
II. Horse
5. Risk indicates:
I. Fear of unknown
IV. Hazard
I. Pooling
II. Diversification
III. Gambling312
I. House
II. Sunlight
I. Catastrophic risk
I. True
II. False
11. __________________ means transfer of all rights and remedies, with respect to
I. Contribution
II. Subrogation
I. Misrepresentation
II. Contribution
III. Offer
IV. Representation
CHAPTER-12 QUESTIONS
I. Sum insured
II. Premium
I. Claim amount
IV. Premium
I. Policy
III. Endorsement
5. Material fact
I. Process of manufacture
I. In cash
II. By cheque
I. Is not mandatory
9.A warranty
IV. Premium derived from the most recent loss experience period
IV Test Yourself 4
4. Suggest an insurance scheme for a doctor to protect him from any claims of negligence against
him.
I. Assured
II. Underwriter
III. Agent
IV. Surveyor
I. Rate
II. Premium
IV. Bonus375
I. Sum insured
II. Premium
III. Rider
IV. Benefits
9.Hazards are:
Physical Hazards:
III. The vehicle should not be used for carrying luggage for personal use
IV. The vehicle should not be run more than 200 km per day.376
I. Increases risk
I. Registration
1. Which of the below statement is correct with regards to a householder’s insurance policy?
I. A named peril policy may be purchased as a less expensive alternative to a comprehensive coverage
policy that tends to offer coverage to most perils.
II. A comprehensive policy that tends to offer coverage to most perils; may be purchased as a less
expensive alternative to a named peril policy.382
III. A named peril policy or comprehensive policy comes at the same price.
IV. With regards to a householder’s policy, only a named peril policy can be bought and comprehensive
policies are not available.
2. Under the shopkeeper policy, the insured may opt for an additional „Fixed plate glass and
sanitary fittings‟ cover. This will cover accidental loss of damage to which of the following?
I. In the name of the vehicle owner whose name is registered with Regional Transport Authority
II. If the person who will be driving the vehicle is different from the owner, then in the name of the
person who will be driving the vehicle, subject to approval from Regional Transport Authority
III. In the name of any family member of the vehicle owner, including the vehicle owner, subject to
approval from the Regional Transport Authority
IV. If the person who will be driving the vehicle is different from the owner, then primary policy should
be in the name of the vehicle owner and add-on cover in the name of the person who will be driving the
vehicle.
IV. Both Structure and contents only when insured is not at home
6.In shop keeper’s insurance, which of the following are not covered?
I. Machinery breakdown
7. In shop keeper’s insurance which of the following are usually not covered
1.A fire policy for commercial risks covers the perils of ________
I. Explosion
II. Implosion
2.A business interruption insurance policy can be taken only in conjunction with ____________.
III. Loss of money that has been entrusted to other than authorized person
I. Employers against the financial loss suffered by them due to fraud or dishonesty of their employees
II. employees against the financial loss suffered by them due to fraud or dishonesty of their employer
III. Employees and employers against the financial loss suffered by them due to fraud or dishonesty of
third party
IV. Shareholders against the financial loss suffered by them due to fraud or dishonesty of the company
management
6.Which of the below can be covered under a banker’s indemnity insurance policy?
I. Money securities lost or damaged whilst within the premises due to fire
7.In case of a Jeweler’s Block Policy, damage to property insured when it is in transit by registered parcel
will be covered under ____________.
I. Section I
II. Section II
IV. Section IV
9.Which of the following is not covered under Industrial All Risks insurance?
II. Larceny
I. Marine policies
11.Under the Public Liability Insurance Act, 1991, how much is the compensation
I. Rs. 6,250
I. Motor Car
13. An employer insures himself from dishonest act of his employees by _________
I. Hull
II. Cargo
III. Piracy
IV. Jettison
I. Statutory liability
16. Fire Insurance Policy does not cover damage to property even as add-on cover due to___________.
I. Floods
II. Earthquake
III. Fire
I. Security measures
I. Fire Insurance
I. Liability Insurance
I. Cash in hand
1.Which of the following activities would not be categorized under professional settlement of claims?
2.Raj is involved in a car accident. His car is insured under a motor insurance policy. Which among the
following is the most appropriate thing for Raj to do?
II. Investigation tries to determine the validity of the claim whereas assessment is more concerned
with the cause and extent of the loss
III. Assessment tries to determine the validity of the claim whereas investigation is more concerned with
the cause and extent of the loss
IV. Investigation is done before the claim is paid and assessment is done after the claim is paid
5.Which among the following documents is most likely to be requested while examining a cyclone
damage claim?
I. Coroner’s report
I. Contribution
II. Discharge
III. Subrogation
IV. Indemnity
7.If the insurer decides that a certain loss is not payable because it is not covered under the policy then
who decides on such matters?
II. Umpire
III. Arbitrator
I. unlicensed surveyor
I. Surveyor
II. Doctor
III. Police
IV. Coroner
11.Independent surveyors are required for claims equal to or above_______ as per the Insurance Act.
I. Rs. 40,000
II. Rs. 15,000
12.Claims assessed outside the country in case of travel insurance policies are assessed by:
I. Indian surveyors
I. is not required
III. is necessary
I. Surveyors
II. Insured
III. Insurer
17. Insurers under right of subrogation are allowed to recover the loss paid from:
I. Shipping companies only
IV. Shipping companies and railway and road carriers and airlines and port trusts